腹腔镜在妇科恶性肿瘤中的应用

摘要

Objective To discuss the safety and feasibility of the laparoscopy in gynecologic malignant tumors. Methods 32 cases with gynecologic malignant tumor from January 2008 to January 2011 treated with laparoscopy for high ligation ovarian arteriovenous, hysterectomy or accessories, resection of pelvic lymph node excision, greater omentum. Results Among 32 cases with gynecologic malignant tumor, 6 cases were done laparoscopic hysterectomy, 23 cases were done in laparoscopic descending all hysterectomy and pelvic lymph node dissections, 3 cases were done in laparoscopic descending bilateral oophorectomy, appendectomy and greater omentum resection. Have 2 cases there is a major vascular injury, 1 case of intestinal canal injury, 3 cases occur urinary system injury, 2 cases occurred puncture hole tumor metastasis. Conclusion The gynecologic malignant tumor can achieve good effect with laparoscopy for treatment, having small trauma, quick recovery, short hospitalization, less cost, high quality of life, good prognosis, so it has high clinical application value.%　　目的探讨腹腔镜在妇科恶性肿瘤中应用的安全性和可行性。方法对2008年9月~2011年12月32例妇科恶性肿瘤用腹腔镜进行高位结扎卵巢的动静脉、切除子宫或附件、切除盆腔淋巴结、切除大网膜。结果32例妇科恶性肿瘤患者中,有6例在腹腔镜下行全子宫切除术,23例在腹腔镜下行全子宫切除和盆腔淋巴结清扫术,3例在腹腔镜下行双侧卵巢切除术、阑尾切除术及大网膜切除术。有2例发生大血管损伤,1例发生肠管损伤,3例发生泌尿系统损伤,2例发生穿刺孔肿瘤转移。结论采用腹腔镜治疗妇科恶性肿瘤可取得良好的效果,而且手术创伤小、恢复快、住院时间短、花费少、生活质量高,预后良好,因此腹腔镜在妇科恶性肿瘤中有临床应用的价值。